8 / 32
This plan intends to offer coverage that meets the minimum essential coverage and affordability portions of the Shared
Responsibility portion of the Patient Protection and Affordable Care Act.
20
Hours/Week
22
Hours/Week
24
Hours/Week
26
Hours/Week
28
Hours/Week
30 - 40
Hours/Week
Employee (EE) Only
$7.42
$6.68
$5.94
$5.20
$4.45
$0.00
EE + Spouse Only
$21.91
$21.17
$20.42
$19.68
$18.94
$14.49
EE + Children Only
$19.64
$18.90
$18.16
$17.42
$16.67
$12.22
EE + Family
$37.70
$36.96
$36.22
$35.48
$34.73
$30.28
20
Hours/Week
22
Hours/Week
24
Hours/Week
26
Hours/Week
28
Hours/Week
30 - 40
Hours/Week
Employee (EE) Only
$1.33
$1.20
$1.07
$0.93
$0.80
$0.00
EE + Spouse Only
$3.94
$3.80
$3.67
$3.54
$3.40
$2.60
EE + Children Only
$3.84
$3.71
$3.57
$3.44
$3.31
$2.51
EE + Family
$6.53
$6.40
$6.26
$6.13
$6.00
$5.20
20
Hours/Week
22
Hours/Week
24
Hours/Week
26
Hours/Week
28
Hours/Week
30 - 40
Hours/Week
Employee (EE) Only
$109.03
$98.12
$87.22
$76.32
$65.42
$0.00
EE + Spouse Only
$370.64
$359.74
$348.84
$337.93
$327.03
$261.61
EE + Children Only
$338.02
$327.12
$316.22
$305.32
$294.41
$229.00
EE + Family
$599.60
$588.69
$577.79
$566.89
$555.99
$490.57
20
Hours/Week
22
Hours/Week
24
Hours/Week
26
Hours/Week
28
Hours/Week
30 - 40
Hours/Week
Employee (EE) Only
$144.94
$134.04
$123.14
$112.24
$101.33
$35.92
EE + Spouse Only
$449.66
$438.75
$427.85
$416.95
$406.05
$340.63
EE + Children Only
$411.66
$400.76
$389.86
$378.95
$368.05
$302.64
EE + Family
$716.33
$705.43
$694.52
$683.62
$672.72
$607.30
2017 Bi-Weekly Deductions
Dental Coverage - United Concordia
Vision Coverage - Superior Vision
Medical Coverage - Kaiser HMO
Medical Coverage - Kaiser Multi-Choice POS